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12070081CITY OF CUPERTINO 13UILDING PERMIT I31i11-DING ADDRESS: 19503 S"1"I7VPNS CREEK BLVD UNIT 328 CON 'fRACI'Olt: RLI I.I.I.C'I"RIC COMPANY 1'F:R%UI NO: 12070081 OWNER'S NAME: ELAINI. C'IIONG 1151 Il,%RBOR BA1PKNVY S'IT 2061 I DAIT ISSUED:07/11/2012 OWNEWS PHONE: 6509068024 J ALAMED:A. C:A 94.,02 1 I'I ION F. NO 131(1)337-4947 1 L7 LICENSED CON"IRAC] fOR'S DECLARATION I.iceluc Class� Lic. a Contractor I , re. 1( ,, 0 C— Dane ✓l �/L I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7001) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penal)' of perjury one of the fallowing two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided Ibr be Section 3700 of Elie Labor Code, for the perfornmmce of the work Ibr which this permit is issued. I have and will maintain Worker's Compensation Insurance, u provided for by Section 3700 ol'the Labor Codc, for the perfornimnce of the work lir which this permit is issued. %PPLICAN"f CERTIFICATION I cerny that I have read this application mid state that the above information is correct. I agree if, comply with all city and count) ordinances and stare laws relating 0h building construction, and iercbv authorize representatives of this city to enter upon the above mentioned properly for inspection purposes. (We) agree tm save indcninilj' and keep harmless the Cit of Cuperlino a inst liabilities, judgments. costs. and expenses which nun' accrue against s:' y in consequence ol'the ,,ranting of Iltis permit, Addili ', the a cu nderslands and will conipl)' w ill all nun -point snEtya Cu. aunt s e C- ino Municipal Code, Section Signature �../ Date1,1,r,,1,,261?- ❑ OWNER -BUILDER DECLAMATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following Iwo reasons: I. as owner of the property, or my employees with wages as their sole compensation. will do Elie work, and the structure is not intended or offered for sale (See. 7044. Business & Prole,sions Codc) 1, as owner of the propene. tan exclusively contracting with licensed contractors it, construct the project (Sec.70-14. Business & Professions Code), I hereby affirm under penalty (1f perjury one of the following three declarations: I have land will mlimain a Cenihca: of Consent to self -insure for Worker's Compensation, m pro, ided for M' Section 3700 of the Labor Code. Ibr Ilio perloxnmatce Ill [lie work lox which (his permit is issued. I h;n'c and will maintain %k orker s Compensation Insurance. as provided low by Section 3700 ol'Ihe Labor Code, lir the performance ul the work for which this permit IS issued. I certify that in the perlbrmance of the work for which this permit is issued, I shall not enhploy any person in any nhamher so as to become subject to the Worker's Compensation laws tit California IC utier making this certificate of exemption, 1 become subject to the Worker's Compensation provisions of the labor Code. I must lirthwith comply with such provisions or this permit shall be deemed revoked. APPLIC:AN"I' CERTIFICATION I ceriiR that I have read this application and state that life above information is correct. I agree to connply wish all city and county ordinances and state laws relating in building construction, and urelly authorize representatives of this cit' to enter upon the above nhcmioned property for inspection purposes. (We) agree to Save indcmnifv and keep harmless the Cit of Cupertino against liabilities, judgments, costs, and ,'.\pmts,', nyhieh neap accfuc against said City in consequence ollhc ,,ranting of this permit. Additional],', the applicant understands and will comply with all non -point source regulmiuns per the Cupertino Municipal Code. Section 9.18, Doc BUILDING PF:I MIT INFO: BLDG I ELECT F PI. U.AIB r :NIECII r RESIDEN TIAL r COJINI ERC IA 1. F JOB DESCRIPTION: INS I ALL E.V. CI IARGING SI A HON A I GA WaID: a0 AM's Sq. Ft Floor Area: I Valuation: 5900 ACV Number: 31049096.00 I Occupancy, 'I'vIle: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LASTCALLED INSPECTION. Issued by: RF: ROOFS: All roofs shall be inspected prior it, any tooling material being installed If ;I roof is installed without first obtaining an inspection. I aarce to renuwe all new 13IaICHa1% lin inspection. Sigmtlurc of Date ALL ROOF COVI!I(INGS'10 BE CLASS "A" OIt BE I-1'Elt 11 VARDOUS MA I']:it LALs DISCLOSE RE I have read the hazardous malcrials requirements under Chapter 6.95 (it the California Ilrallh & Sufcic Codc. Section, 25505, 25533, and 25534, 1 will maintain compliance will) the Cuperlinn Municipal Code. Chapter 9.12 nail the Ilrallh Safety Code, Section 25532(1) should I stare or handle hazai duus malei al. Additionally, should 1 lac equipment or device, which emit hazardous air conui ninnis its defined by the B:n' Arca ;%ir Quali(y yla n;IRrmcnl Dist, icl I will maintain Compliance wish the (' Ili \Imlicip:d Code, Chapter 9.12 rail the Ilrxh'1 5 (11 ScCli s 533, and 25574. 016ncr E,n IJY6r .cJent: z / j L CONS I ]tit('[ ION LENDING :\GF:NCY I hereby :dlirm that there is if construction lending agcncv lir the perl6nin nce of work's for which this permit is issued (Sec. 3097, Cie C.) Lender's Name Lender's :ARCIII I EC I'S DEC 1,.%H %IION I understand nw plans shall be used as public records. Licensed RESIDENTIAL PROJECT COVER SHEET Assessor's Parcel Number: Name ofowner. Project address. Pe -S33-�O�� 10/ Contact person. �� � S Phone. Seo - 17 Fax. Net square footage of lot. Square footage: First floor: Second Garage:. TOTAL Existing Proposed Are there at least two 10 foot by'26 foot clear spaces inside the garage? Is privacy protection planting required'for the project? Y lV Build it Green Total Points On what floor(s) is work being done? Brief description of work. CZlS/wil Z;7c, .1 ell Code editions: 2007 CBC DN)2007 CFC ( N)2007 CMC 2007 CPC (Y - N)2007 NEC. �f (Y- N) Effective l/l/08 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION - CUPERTINO APPROVED Thls set of plans and specifications MUST be kept at the job site during constructlon. It is unlawful to make any changes or alterations on same, or to deviate therefrom, without approval from the Building Official. The stamping of this plan and specifications SHALL NOT be held to permit or to be an approval of the violation of any provision of any City Ordinance or State Law. BY DATE' PERMIT NO., Plan Review Process Work Book Page -8-Revised 8/05/08 0�e 'Ag z�oz z i inr CMATZROaZq Sheetl Page 1 C31 V7 BY: Residential Load Calculation Work Sheet Page 1 of 2 Name George Lee I By REJ Address 19503 Stevens Creek Blvd Date: 07/11/12 City Cupertino Check if present Loads Description V-A Notes Totals Square Footage X 3 V-A per sq FT 3000 sq FT 3000 ' 3 9000 Kitchen Circuits Kitchen Counter Circuits 1500 2 X 1500 3000 Electric Range 5000 1 X 5000 5000 Electric Oven 2000 1 X 2000 2000 Microwave 1500 1 X 1500 1500 Garbage Disposal 1000 Dishwasher 3500 1 X 3500 3500 Garbage Compactor 1000 Instant hot Water 1500 Laundry Room Laundry Circuit 1500 1500 Electric Clothes Dryer 4500 1 X 4500 4500 Heating, Ventilation, A/C Central Heating and A/C forced air 6000 1 X 6000 6000 Central Forced Air Heater NO A/C 700 Window Mounted A/C units EACH 1000 Whole House Attic Fan 500 Central Electric Heating 8000 Evaporation cooler 500 Electric Heater -in wall w/fan EACH 600 Electric Baseboard Heat -Each 500 Radiator, Gravity, or wall Mount gas 0 Other Electrical Loads Electric water heater 4000 Electric tank -less water heater 15000 Swimming pool or Spa 3500 Other Nameplate Other Nameplate Total of present Loads 36000 Page 1 C31 V7 BY: Sheetl Page 2 Residential Load Calculation Work Sheet Page 2 of 2 Name George Lee I By REJ Address 19503 Stevens Creek Blvd date; V-A Totals Total of present Loads from page 1 36000 Subtract 3000 -3000 subtotal 1 33000 Subtotal X 35 % X.35= 11550 add back 3000 3000 3000 Total calculated Load 14550 V-A add charger load Coulomb Ct500 7200 9000 7.2 x 125% Other at nameplate 3600 New Total Calculated Load 23550 V-A Divide by 240 V V-A /240 98 Required Amperes Existing service 125a 240V install is OK Page 2 CUPERTINO GENERAL PERMIT, APPLICATION M E P COMMUNITYDEVELOPMEN6 DEPARTMENT • BUILDING DIVISION 10300 TORRE'AVENUE:-=PERTINO, CA 95014-3255 / M I (408)777-3228 • FAX'(408) 777-3333 • buildina(5)cuoertino.orn / /�/,�y %t � F1 PLUMBING ❑AFCHAMCAL 'FTFCIRICAL MNESCELLANEOUS PROJECT ADDRESS O 0 314 OWNER NAME -/��IhYj C J/yJ H D_ E-MAIr- STREET ADDRESS CfTY ATE. FAX CONTACT NAME con 1 _ ��� "7T' PHONE E-MAIL STREET ADDRESS CITY, STATE, 78 FAX ❑ OWNER ❑ OwNER-BUDDER ❑ OwNERAGENT ,' WNTRACLOR ❑CONIRACIDRAGENr ❑ ARCHDEcr ❑ ENGWEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSENUMBER ' LICENSE Tr BUS. LIC a COMPANY NANOE-MAR N J FAX `-o ao 1 STREET ADDRESS r .STATE, t Gu9 PHONE 3317-45 / ARC3U=/EdG1NEEi NAME (SENSE NUMBER BUS. IIC0 COMPANY NAME E-MAR FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF E1151F.DUPLEX' BUROWG: ❑COMNIERCLV. ❑' MULTI -FAMILY PROLECrW WRDf-WU ❑YES URBAN NTERFACE AREA ❑NO PROIECrW ❑ YES FLOOD ]ONE ❑NO OTHEBLOGAN OYES EICHLER HOME! 0 N DFSCRnMON OF WORK l TOTAL VALUATION: RECEIVED BY: By my signature below, I certify to each of the following:: am the property owner or authorized agent to act on the property owner's behalf. 1 bave read this application and the information I have provided is correct I have read the Description of Work and verify it is accurate. I agree p comply with all applicable local ordinances and state laws rela m building construction. I authorize representatives of Cupertino to enter the above-identi6edprope.—f For inspection put�oses. Signature ofApplicant/Agrne N - — Date: W Q0 S PLEMENTAL INFORMATION REQLM ED OFFICE USE ONLY m LJ OVER-THE-COUNTER Y ❑ EXPRESS U N U ❑ STANDARD ❑ LARGE c ❑ MAJOR MSPMEscApp_2011.doc revised 06121111